LESSON PLAN

ON
PRINCIPLES&CONCEPTS OF
MENTAL HEALTH NURSING

BY
MRS MEGALA
VEL NURSING COLLEGE

SUBJECT : MENTAL HEALTH NURSING.

GROUP : B.SC NURSING, III YEAR

TOPIC : PRINCIPLES&CONCEPTS OF MENTAL HEALTH NURSING

DURATION : 5HRS

METHOD OF TEACHING : LECTURE CUM DISCUSSION.

A.V AIDS : POWER POINT PRESENTATION, CHART,WHITE BOARD

METHOD OF EVALUATION: UNIT TEST, QUIZ

NAME OF THE FACULTY : MRS MEGALA

Central Objective
At the end of the class the students will gain knowledge regarding
society,social groups,social change ,social control,socialstraficatuion,social
agencies and remedial measures.
S. PROPOSED SPECIFIC CONTENTS TEACHER’S ACTUAL INITIALS
NO DATE AND OBJECTIVE ACTIVITY AND DATE AND OF THE
TIME TEACHING TIME FACULTY
AIDS
1. At the end of DEFINITION OF MENTAL HEALTH Explaining
the class the Mental health refers to cognitive, behavioral, and through case study
students will emotional well-being. It is all about how people
able to think, feel, and behave. People sometimes use the
define about term “mental health” to mean the absence of a
what is mental mental disorder
health and
mental illness DEFINITION OF MENTAL ILLNESS
Mental illnesses are health conditions involving
changes in emotion, thinking or behavior (or a
combination of these). Mental illnesses
are associated with distress and/or problems
functioning in social, work or family activities.

State the
2. components of COMPONENTS OF MENTAL HEALTH:
mental health THE COMPONENTS OF MENTAL Explaining using
HEALTHINCLUDE: ppt
1. ABILITY TO ACCEPT SELF:
A mentally healthy individual feels comfortable
about himself. He feels reasonably secure and
adequately accepts his surroundings .In other
words, he has self-respect
 2. CAPACITY TO FEEL RIGHT
TOWARDSOTHERS:
An individual who enjoys good mental health is
able to be sincerely interested in other’s welfare.
He has friendships that are satisfying and lasting.
He is able to feel as a part of a group without
being submerged by it. He takes responsibility for
his neighbors and his fellow members.

3. ABILITY TO FULFILL LIFE’S TASKS: The

third important component of mental health is
that it bestows on the individual for the ability to
meet the demands of life. A mentally healthy
person is able to think for himself, set reasonable
goals and take his own decisions. He does
something about the problems as they arise. He
shoulders his daily responsibilities and is not
bowled over by his own emotions of fear, anger,
love and guilt.

CRITERIA FOR MENTAL HEALTH:

Enlist the Discussing
1.Adequate contact with reality
criteria for through group
2. Control of thoughts and imagination
mental health interaction
3. Efficiency in work and play
4. Social acceptance
5. Positive self-respect
6. A healthy emotional life.
List out the
indicators of Explaining
Indicators of Mental Health:
mental health through
Jahoda (1958) has identified six indicators of
pamphlet
 mental health which include:
1. A positive attitude towards self:
This includes an objective view of self, including
3. knowledge and acceptance of strengths and
limitations .The individual feels a strong sense of
personal identity and security within the
environment.

2. Growth, development and the ability for

self-actualization:
This indicator correlates whether the individual
successfully achieves the tasks associated with
each level of development.

3. Integration:
Integration includes the ability to adaptively
respond to the environment and the development
4. of a philosophy of life, both of which help the
individual maintain anxiety at a manageable level
in response to stressful situations

.4. Autonomy:
Refers to the individual’s ability to perform in an
independent self-directed manner; the individual
makes choices and accepts responsibility for the
outcomes

5. Perception of reality:
This includes perception of the environment
without distortion as well as the capacity for
empathy and social sensitivity, a respect and
concern for the wants and needs of others.
 6. Environmental mastery:
This indicator suggests that the individual has
achieved satisfactory role within the group,
society and environment. He is able to love and
accept the love of others.

The International Classification of Diseases

Distinguish the (ICD) Discussing by
classification playing videos
Of ICD10

STANDARDS OF PSYCHIATRIC NURSING

Elaborate about The phases of the nursing process as described by
standards of the Standards of Practice in Psychiatric–Mental Explaining
psychiatric Health Nursing: Scope and Standards of Practice using white
nursing are assessment, diagnosis, outcomes boards
identification, planning, implementation, and
evaluation. Validation is part of each step, and all
phases may overlap or occur
 simultaneously. The nursing conditions
and related to each of these phases are shown in.
Each of these phases, as it applies to psychiatric
nursing practice, is now described.

STANDARDS OF PRACTICE
 Standard 1: Assessment
 Standard 2: Diagnosis
 Standard 3: Outcome identification
 Standard 4: Planning

 Standard 5: Implementation
 Standard 5A: Coordination of care
 Standard 5B: Health teaching and health
promotion
 Standard 5C: Milieu therapy
 Standard 5D: Pharmacological,
Biological, and integrative therapies
Advance Practice Interventions
 5E to 5G
 Standard 5E: Prescriptive Authority and
treatment Standard
 5F: Psychotherapy Standard
 5G: Consultation
 Standard 8:Education
5.  Standard 9:Professional Practice
Evaluation
 Standard 10: Collegiality
 Standard 11: Collaboration
 Standard 12: Ethics
 Standard 13: Research
 Standard 14.Resource Utilization
 Standard 15:Leadership
 PERSONALITY DEVELOPMENT
ANDDEFENSE MECHANISM
Explain about
personality Personality is that pattern of characteristic Explaining
development thoughts, feelings, and behaviors that using PPT and
and defense distinguishes one person from another and white board
mechanism that persists over time ”
“It is the sum of biologically based and
learnt behavior which forms the person's unique
responses to environmental stimuli.
THE FIVE DIMENSIONS OF
PERSONALITY:(THE FIVE FACTOR
MODEL)

 openness,
6.  conscientiousness,
 extraversion,
 agreeableness,
 neuroticism

General principles of mental health nursing

Explain in detail The principles of psychiatric nursing provide

about the general guidelines that should be used in nursing Discussing
general care of mentally ill persons. through PPT
principles and paper
presentation
7.
8.
These principles applied to all psychiatric
patients regardless of diagnosis or type of
behavior. Basic principles of psychiatric nursing:

1-Accept the patient exactly as he is.

The nurse needs to accept the client as a human
being who has values and worth
.Acceptance is important in nursing because you
will care for many people who are different, but
they must be accepted.
Acceptance does not mean acceptance of
inappropriate behavior but accept the person as
worthy.
The nurse must set boundaries for behavior by
being cleared and firm without anger or judgment
and conveying that certain behavior is
unacceptable.
Acceptance of the patient is an active process, we
showing acceptance by, .- the nurse spend more
time with the client listening to him ,hearing what
he is saying and understand the meaning of what
is said.
–Be Non – judgmental and non- punitive
- we don’t judge patient’s behavior as right or
wrong, good or bad
– All direct or indirect methods of punishing
must be avoided, the patient is not punished for
his undesirable behavioural.
-Listening to patient’s another means of
acceptance.

-Listening is more than keeping quite it includes

hearing what he is saying and understand the
meaning of what is said.
-Permitting the patients to express emotions the
patients has negative emotions and need to
express these emotions without psychological or
physical danger to themselves and others, and
these emotions are in need of an outlet. In fact,
the ability of the patient to express negative
emotion is often a very healthy sign.

2-Understanding:- ( self-understanding) :- Self-

understanding leads to understanding of other’s
behavior and to be aware of why he behaves as
he does. And help to understand the behaviour of
patients with whom he works. And this will make
him able to handle the patients in a good way and
give the right nursing care
.
3-Respect:- It means respect the patient as an
individual, as human being who possesses worth
and dignity. The nurse should have a basic
respect for the patient simply as a person.
Respect is increased with understanding of the
patient’s uniqueness. Respect can be seen in
different ways.
-Sitting silently with patient who is crying.
-Laughing with the patient in response to
particular event.
-A apologizing for hurt.
-Listening to the patient.
-Call him by Name.

4-Reassurance: - Psychiatric patients need

constant reassurance as theyare insecure and
uncertain
– They have to be helped to develop trust and
confidence. But we must avoid this type of
reassurance. You will get well.
 All will end well.
 Nothing to worry
 Your fear is
 Groundless How to give reassurance.
- pay attention to the matters that are important
to the patient
.- Be a ware and accept how the patients really
feels /
-Sit beside the patient even when he doesn’t
want to talk, accepting patient’s silence, and the
physical presence can be very reassuring the
patient
.- Listen to personal problems without showing
surprise or disapproval
.- Provide patient acceptable outlets of anxiety.

5-Observation:-Observation of mentally ill

patients is directed toward the way of his
behavior. Everything the patient does or says is
observed by the nurse and analyzed to know and
understand the motivation behind it. And
evaluate patient’s behaviour as wrong or right.
 6-Nursing care should be centered on patient as a
person and not on the symptoms. Every
behaviour is meaningful and behavior is reflected
in the symptoms patient presents
7-Procedures should explain to the patients: -
Every procedure should be explained at the
patient level of understanding. Explaining the
procedure to the patients will reduce his anxiety.

8-Unnecessary increase of patient’s anxiety

should be avoided:- Anxiety is problem with
which the patient has been unable to cope. The
nurse should carefully study situations that may
increase the patient’s anxiety.

9-Verbal and physical force must be avoided.

Any kind of force applied on patient result in
psychological trauma. So the nurse can prevent
by -Carry out the procedure quickly firmly and
efficiently with adequate help.

Conceptual model in mental health nursing

 Psychoanalytical model
State the  Interpersonal model Explaining
conceptual  Social model through group
model in mental  Existential model discussion.
health nursing  Supportive therapy model
 Medical model
9.